The invention discloses a targeted immunomodulatory
fusion protein for treating
systemic lupus erythematosus, an engineered
stem cell preparation for expressing the
fusion protein as well as a preparation method and application of the engineered
stem cell preparation. The
fusion protein is composed of an anti-human CD20 single-chain
antibody, an enhanced human IL-10 variant and a flexible connecting
peptide, the complete
amino acid sequence is SEQ ID NO5, the affinity to CD20 is basically equivalent to or better than that of
rituximab, and the IL-10 activity is 1.8 times that of a
wild type. The engineered
stem cell preparation is obtained by transfecting human
umbilical cord mesenchymal stem cells through
lentivirus and screening
puromycin, and the preparation can stably secrete fusion
protein and is specifically combined with CD20 positive B cells. In-vitro experiments prove that
B cell proliferation and IgG
secretion can be remarkably inhibited, the
urine protein positive rate and the dsDNA IgG level can be reduced in an in-vivo MRL / lpr mouse model,
kidney pathological injuries are relieved, and the
survival rate is increased. Precise treatment is achieved through a
synergistic mechanism of targeted enrichment and local high-activity IL-10 delivery, the
side effect of systemic
immunosuppression is avoided, and the clinical transformation value is high.